Active NPI
Danielle Green, M.D.
- Hospitalist Physician
- Salt Lake City, UT
National Provider Identifier
1740642933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 10518268-1205
- Practice address
- 295 S Chipeta Way
Salt Lake City, UT 84108-1287 - Phone
- (801) 587-7400
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | 10518268-1205 | UT | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 10518268-1205 | UT |
Addresses
Primary practice location
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Mailing address
295 S Chipeta Way
Salt Lake City, UT 84108-1287
Phone (801) 587-7400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DGREEN199691@DIRECT.MED.UTAH.EDU | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Acuity Care | Pediatric Critical Care Medicine | Current | Accepting new patients |
| University of Utah Pediatric Acuity Care | Current | Accepting new patients | |
| University of Utah Pediatric Acuity Care | Pediatric Critical Care Medicine | Past | Accepting new patients |
Locations
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
127 S 500 E
Ste 200B
Salt Lake City, UT 84102
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- dgreen199691@direct.med.utah.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Critical Care Medicine Physician
- Salt Lake City, UT
- NPI 1619325131
-
- Pediatric Hospice and Palliative Medicine Physician
- Salt Lake City, UT
- NPI 1851898365
-
- Pediatric Critical Care Medicine Physician
- Salt Lake City, UT
- NPI 1891156741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1740642933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 S CHIPETA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081287",
"telephone_number": "801-587-7400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 S CHIPETA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081287",
"telephone_number": "801-587-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "DANIELLE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "UT",
"license": "10518268-1205",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "UT",
"license": "10518268-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DGREEN199691@DIRECT.MED.UTAH.EDU",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.